NPI 1083036974

Capital Senior Living Properties 4, INC.

Organisation Assisted Living Facility Fort Wayne, IN

Practice location

Address: 3320 East State Boulevard, Fort Wayne, IN 46805
Phone: (260) 483-4343
Fax: (812) 406-1101

Authorised official

Name: Dan Kenyon
Title: Vp and Secretary
Phone: (972) 770-5600

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 13-012107-1 (IN)

Other Assisted Living Facility providers in Indiana →

Registry record

NPI: 1083036974
Entity type: Organization
NPI issued: 10 Jan 2014
Record last updated: 10 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.